ALEXA TANGALAKIS WAGE (NPI# 1528542610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528542610 |
| Entity Type | Individual |
| Full Name | ALEXA TANGALAKIS WAGE |
| Credential | LMFT |
| Practice Address |
4015 Jackson Ave Culver City CA 90232-3231 |
| Mailing Address |
14827 Doty Ave Hawthorne CA 90250-8420 |
| Practice Telephone | 3105693188 |
| Mailing Telephone | 3105693188 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 102026 | CA | Behavioral Health & Social Service Providers |
| Street Address |
4015 JACKSON AVE |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90232-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
| 1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
| 1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
| 1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
| 1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
| 1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
| 1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
| Find all providers in zip 90232 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649826694 | Stephanie Giselle Gonzalez | Marriage & Family Therapist | 5700 Canterbury Dr, Culver City, CA 90230-6531 | 2019-08-15 |
| 1912569948 | Cristina Demarti | Marriage & Family Therapist | 400 Corporate Pointe Ste 300, Culver City, CA 90230-7620 | 2019-06-29 |
| 1295287514 | Gillian Scott | Marriage & Family Therapist | 11260 Overland Ave Apt 8f, Culver City, CA 90230-5531 | 2016-11-03 |
| 1346792942 | Jessica Tiegs | Marriage & Family Therapist | 4281 Revere Pl, Culver City, CA 90232-3240 | 2016-10-30 |
| 1558714873 | John Berndt | Marriage & Family Therapist | 4212 1/2 Overland Ave, Culver City, CA 90230-3736 | 2016-07-21 |
| 1174970412 | Steven Kaufman | Marriage & Family Therapist | 11260 Overland Ave, 6b, Culver City, CA 90230-5559 | 2016-05-17 |
| 1437513272 | Joyce Bosha Lopresti | Marriage & Family Therapist | 4026 Higuera St, Culver City, CA 90232-2507 | 2016-04-07 |
| 1245698562 | Dorsey Counseling Group, Inc | Marriage & Family Therapist | 5700 Hannum Ave Ste 150, Culver City, CA 90230-6535 | 2016-02-01 |
| 1376912881 | Janet Bowden, A Family Therapy Corpration | Marriage & Family Therapist | 4311 Vinton Ave, Culver City, CA 90232-3452 | 2015-09-15 |
| 1902272156 | Tivoli Cousineau | Marriage & Family Therapist | 5112 Bounty Ln, Culver City, CA 90230-4302 | 2015-08-11 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90232 |
Please comment or provide details below to improve the information on ALEXA TANGALAKIS WAGE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.